MEDICARE: DR. CHARLES B. KLEIN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV002787	NY
2	152WC0802X	Corneal and Contact Management Optometrist	TUV002787	NY

General Provider Information

NPI Number	:	1861577801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES B. KLEIN O.D.

Provider Business Mailing Address
First Line	:	142 W END AVE
Second Line	:	APT. 18P
City	:	NEW YORK
State	:	NY
Zip	:	10023-6103
Country	:	US
Telephone Number	:	212-873-1179
Fax Number	:	212-873-2538

Provider Business Practice Location Address
First Line	:	7119 AUSTIN ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4720
Country	:	US
Telephone Number	:	718-520-8202
Fax Number	:	718-268-7739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/11/2025

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